Runaway and Homeless Youth Prevention Demonstration Program Prevention Plan Template

Formative Data Collections for ACF Program Support

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0531 can be found here:

Documents and Forms

Document Name Document Type
Prevention Plan Outline DRAFT Updated 2023.09.18 10-23-2023 Final.docx Other-Template
SSA Formative for ACF Program Support RHY PDP 10-23-2023 Final.docx SSA Prog Supp GenIC - RHY-PDP Prevention Plan Template IC Document

Information Collection (IC) Details

IC Title:	Runaway and Homeless Youth Prevention Demonstration Program Prevention Plan Template	Agency IC Tracking Number:	FYSB

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Template			Prevention Plan Outline DRAFT Updated 2023.09.18 10-23-2023 Final.docx		Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 11	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Previously Approved
Annual Number of Responses for this IC	11	11
Annual IC Time Burden (Hours)	88	88
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
SSA Prog Supp GenIC - RHY-PDP Prevention Plan Template	SSA Formative for ACF Program Support RHY PDP 10-23-2023 Final.docx	10/23/2023

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.